Acute traumatic rupture of the thoracic aorta: Delayed treatment with endoluminal covered stent. A report of two cases

Endovascular treatment of traumatic rupture of the thoracic aorta

“…Ultimately 61 publications were identified that described one or more patients with traumatic aortic rupture12–72. Including the authors' experience, a data set containing 284 patients treated endovascularly in 62 centres was collected.…”

“…In 142 patients endovascular treatment was performed within 24 h and in 88 patients after 24 h (range 2 days to 6 months). Two patients were treated after 6 months, one because of severe cerebral and respiratory injury, and the other because of an unstable C2 fracture that was treated first12, 13. Not all publications reported a reason for delay, but the most common reasons were severity of other injuries and, in early publications, the availability of prostheses.…”

“…The median for the 95 survivors of these 112 patients was 15 (range 1–82) months. Follow‐up schemes were described in 28 publications12, 14, 15, 20, 23, 25, 28–30, 32, 35, 36, 41–44, 46, 48, 52, 55, 57–59, 62, 64, 67, 68, 72. The follow‐up during the first year varied from a computed tomographic (CT) angiogram after 1, 3 and 6 months, to a single CT angiogram after 6 months.…”

Endovascular treatment of thoracic aortic aneurysms: a review

“…The etiologies treated include aortic aneurysms of atherosclerotic/degenerative, (chronic) traumatic, anastomotic, or mycotic origin (Fig. 5) [40,41,42,43,44,47,48,49,50,51,52,53,54,55,56,57,80,81]. Indications in patients with type-B aortic dissection and giant penetrating ulcers are not clearly defined [16,25,29,30,33,35,36,37,38,39,80].…”

“…Since then, progress has been made and several institutions have substantiated the safety and effectiveness of stent grafts in the repair of thoracic aortic aneurysms [24,25,26,27,28]. With increasing experience in stent grafting of TAAs, numerous other aortic diseases, such as aortic dissection, penetrating atherosclerotic ulcers, aortopulmonary fistulas, and acute aortic rupture, due to blunt chest trauma or mycotic aneurysms, were investigated as a potential indication for endovascular treatment (Table 1) [16,25,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54].…”